MICHAEL JACK CRNA
NPI 1629023288
Nurse Anesthetist, Certified Registered in Joplin, MO

Active since May 23, 2006
1102 W 32ND ST, JOPLIN, MO 64804(417) 347-1078(417) 347-1079 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Jack Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JACK CRNA (NPI 1629023288) is an individual nurse anesthetist, certified registered in Joplin, Missouri, licensed in Missouri (083875) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1629023288
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL JACKCredential: CRNA
Location Address1102 W 32ND STJoplin, MO 64804
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-1078 · Fax (417) 347-1079
Fax(417) 347-1079
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateOctober 23, 2007
NPI 1629023288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MO · 083875
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1102 W 32ND ST, Joplin, MO 64804

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1102 W 32ND ST, SUITE 300
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Anesthesiology
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629023288, enumerated as an "individual" on May 23, 2006.

The provider is located at 1102 W 32ND ST JOPLIN, MO 64804 and the phone number is (417) 347-1078.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.